title: Stress and sociocultural factors related to health status among US-Mexico border farmworkers.
abstract: This study examines factors relating to farmworkers' health status from sociocultural factors, including stress embedded within their work and community contexts. A cross-sectional household survey of farmworkers (N = 299) included social-demographics, immigration status descriptors, and a social-ecologically grounded, community-responsive, stress assessment. Outcomes included three standard US national surveillance measures of poor mental, physical, and self-rated health (SRH). Logistic regression models showed that higher levels of stress were significantly associated (Ps < .001) with increased risk for poor mental health and poor physical health considering all variables. Stress was not associated with SRH. Regarding two of the three outcomes, mental health and physical health, stress added explanatory power as expected. For poor SRH, a known marker for mortality risk and quite high in the sample at 38%, only age was significantly associated. Clinical and systems-level health promotion strategies may be required to mitigate these stressors in border-residing farmworkers.
authors.affiliation: Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Drachman Hall A254, P.O. Box 245163, Tucson, AZ, 85724, USA, scott.carvajal@arizona.edu.
authors.forename: Scott C
authors.initials: SC
authors.lastname: Carvajal
authors.forename: Clara
authors.initials: C
authors.lastname: Kibor
authors.forename: Deborah Jean
authors.initials: DJ
authors.lastname: McClelland
authors.forename: Maia
authors.initials: M
authors.lastname: Ingram
authors.forename: Jill Guernsey
authors.initials: JG
authors.lastname: de Zapien
authors.forename: Emma
authors.initials: E
authors.lastname: Torres
authors.forename: Floribella
authors.initials: F
authors.lastname: Redondo
authors.forename: Kathryn
authors.initials: K
authors.lastname: Rodriguez
authors.forename: Raquel
authors.initials: R
authors.lastname: Rubio-Goldsmith
authors.forename: Joel
authors.initials: J
authors.lastname: Meister
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rosales
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001130:Arizona / Q000453:epidemiology; D003430:Cross-Sectional Studies; D000067565:Farmers / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D012307:Risk Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D055815:Young Adult